Gordon J Bean DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

185 Issued in OK

Legal business name

GORDON J BEAN DPM INC

Practice address

3001 S Telephone Rd
Ste B
Moore, OK 73160-5424

Phone

(405) 794-6691

Fax

(405) 794-9856

NPI assigned

Jan 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gordon James Bean, DPMNPI 1255334967

Title

Provider

Phone

(405) 794-6691

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Tax ID family

Gordon J Bean DPM Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gordon J Bean DPM Inc

  • Podiatrist
  • Edmond, OK
  • NPI 1306514807
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gordon James Bean, DPM

  • Foot & Ankle Surgery Podiatrist
  • Moore, OK
  • NPI 1255334967
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1982881173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S TELEPHONE RD",
            "address_2": "STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605424",
            "telephone_number": "405-794-6691",
            "fax_number": "405-794-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S TELEPHONE RD",
            "address_2": "STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605424",
            "telephone_number": "405-794-6691",
            "fax_number": "405-794-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON J BEAN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "405-794-6691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "185",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharhonda Nicole Givens, MA, LPC
• Heather Glenn
• Jacy Rae Glover-Secrest, DDS
• Good Foundations Counseling LLC
• Goodwin Medical Group, PLLC
• Jorge Allen Gorton, PA-C
• Jenne Deann Gough, APRN, PMHNP-BC
• Amanda Gould, RBT
• Audrey Louise Graham
• Aumony Janaya Grate

• Podiatrist in Moore, OK
• Providers in Moore, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.